A4281
HCPCS Procedure Code
HCPCS code A4281 is the #3,742 most-billed Medicaid procedure code, with $1.2M in payments across 111K claims from 2018–2024. The national median cost per claim is $6.31. Costs vary widely — the 90th percentile is $19.51 per claim, 3.1× the median.
Total Paid
$1.2M
0.00% of all spending
Total Claims
111K
Providers
25
Avg Cost/Claim
$11
National Cost Distribution
How much do providers bill per claim for A4281? Based on 21 providers billing this code nationally.
Median
$6.31
Average
$10.74
Std Dev
$14.52
Max
$66.98
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.56 and $11.20 per claim for this code.
90% bill between $0.72 and $19.51.
Top 1% bill above $58.64.
About This Procedure
HCPCS code A4281 was billed by 25 providers across 111K claims, totaling $1.2M in Medicaid payments from 2018–2024. This code was used for 99K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$6.31
Providers Billing
21
National Spending
$1.2M
Avg/Median Ratio
1.70×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for A4281
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1902140734 | $766K |
| 2 | 1033221841 | $217K |
| 3 | Aeroflow Inc Arden, NC · Durable Medical Equipment & Medical Supplies | $156K |
| 4 | 1801965231 | $22K |
| 5 | 1699021642 | $21K |
| 6 | 1184960874 | $20K |
| 7 | 1215997853 | $10K |
| 8 | 1457772535 | $9K |
| 9 | 1689665911 | $6K |
| 10 | 1306961511 | $6K |
| 11 | 1497707426 | $4K |
| 12 | 1639375835 | $2K |
| 13 | 1255741765 | $1K |
| 14 | 1568702744 | $930 |
| 15 | 1245773043 | $787 |
| 16 | Preferred Home Health Care & Nursing Services Inc. Mount Laurel, NJ · Home Health | $484 |
| 17 | 1043249196 | $144 |
| 18 | 1790718385 | $120 |
| 19 | 1003462581 | $56 |
| 20 | 1275523581 | $22 |
Showing top 20 of 25 providers billing this code